Mount Vernon, IL

Nature Trail Health And Rehab

3-star overall rating with 3-star inspections with 9 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

1001 South 34th Street, Mount Vernon, IL

(618) 242-5700

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Crest Healthcare Consulting

Operator or chain grouping

Approved since

2002-03-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

13 facilities

Chain averages 2 overall / 2 health / 1 staffing / 3 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.59

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.61

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

1.97

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

3.17

All reported nurse hours · state 3.49 · national 3.89

Licensed hours

1.20

RN + LPN hours · state 1.36 · national 1.54

Weekend hours

2.73

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.41

Weekend registered nurse coverage · state 0.56 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.47

CMS adjusted RN staffing hours

Adjusted total hours

2.54

CMS adjusted total nurse staffing hours

Case-mix index

1.70

Higher values indicate more complex resident acuity

RN turnover

29%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

40%

Annual nurse turnover · state 46% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,424

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

16.80

Composite VBP score used to determine payment impact.

Payment multiplier

0.9817

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 20.10% · Performance 21.42% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

2.58

Baseline 10.66% · Performance 8.92% · Measure score 2.58 · Achievement 0 · Improvement 2.58

Total nurse turnover

4.14

Baseline 49.18% · Performance 46.77% · Measure score 4.14 · Achievement 4.14 · Improvement 0.49

Adjusted total nurse staffing

Baseline 3.01 hours · Performance 2.81 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.02%	10.72% 1.3 pts worse	No Different than the National Rate · Eligible stays 107 · Observed rate 19.63% · Lower 95% interval 9.28%
Discharge to community	45.68%	50.57% 4.9 pts worse	No Different than the National Rate · Eligible stays 111 · Observed rate 34.23% · Lower 95% interval 33.29%
Medicare spending per beneficiary	1.2	1.02 0.2 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 100 · Denominator 100
Falls with major injury	1%	0.77% 0.2 pts worse	Numerator 1 · Denominator 100
Discharge self-care score	26.87%	53.69% 26.8 pts worse	Numerator 18 · Denominator 67
Discharge mobility score	28.36%	50.94% 22.6 pts worse	Numerator 19 · Denominator 67
Pressure ulcers or injuries, new or worsened	1%	2.29% 1.3 pts better	Numerator 1 · Denominator 100 · Adjusted rate 0.94%
Healthcare-associated infections requiring hospitalization	8.92%	7.12% 1.8 pts worse	No Different than the National Rate · Eligible stays 56 · Observed rate 14.29% · Lower 95% interval 5.63%
Staff COVID-19 vaccination coverage	5.75%	8.2% 2.4 pts worse	Numerator 5 · Denominator 87
Staff flu vaccination coverage	26.67%	42% 15.3 pts worse	Numerator 16 · Denominator 60
Discharge function score	32.84%	56.45% 23.6 pts worse	Numerator 22 · Denominator 67
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 28 · Denominator 28
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 35 · Denominator 35
Resident COVID-19 vaccinations up to date	30.61%	25.2% 5.4 pts better	Numerator 15 · Denominator 49

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.7	2.0 0.7 pts worse	1.9 0.8 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.7 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.2	2.3 0.1 pts better	1.8 0.4 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.2 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	90.6%	89.6% 1 pts better	93.4% 2.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 69.4% · Q2 93.3% · Q3 100.0% · Q4 100.0% · 4Q avg 90.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	93.8%	91.6% 2.2 pts better	95.5% 1.7 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 93.8%
Percentage of long-stay residents experiencing one or more falls with major injury	4.1%	3.3% 0.8 pts worse	3.3% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 5.0% · Q3 4.9% · Q4 3.3% · 4Q avg 4.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	35.4%	50.3% 14.9 pts better	11.4% 24 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 9.6% · Q3 52.0% · Q4 66.7% · 4Q avg 35.4%
Percentage of long-stay residents who lose too much weight	14.0%	6.5% 7.5 pts worse	5.4% 8.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 11.5% · Q3 15.1% · Q4 21.6% · 4Q avg 14.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	17.1%	18.5% 1.4 pts better	19.6% 2.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.3% · Q2 17.5% · Q3 15.5% · Q4 22.6% · 4Q avg 17.1%
Percentage of long-stay residents who received an antipsychotic medication	20.4%	22.8% 2.4 pts better	16.7% 3.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.1% · Q2 22.5% · Q3 19.4% · Q4 18.4% · 4Q avg 20.4% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	8.4%	17.2% 8.8 pts better	16.3% 7.9 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 8.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	14.6%	15.0% 0.4 pts better	14.9% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 5.8% · Q3 32.1% · Q4 12.8% · 4Q avg 14.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.4%	1.1% 0.7 pts better	1.0% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.5% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.2%	1.7% 0.5 pts worse	1.7% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 0.0% · Q3 3.6% · Q4 3.4% · 4Q avg 2.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	28.9%	21.3% 7.6 pts worse	19.8% 9.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.7% · Q2 35.5% · Q3 40.4% · Q4 17.9% · 4Q avg 28.9%
Percentage of long-stay residents with pressure ulcers	2.0%	5.2% 3.2 pts better	5.1% 3.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 4.1% · Q3 1.3% · Q4 1.1% · 4Q avg 2.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	69.1%	68.8% 0.3 pts better	81.7% 12.6 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 56.1% · Q2 45.8% · Q3 80.0% · Q4 93.3% · 4Q avg 69.1%
Percentage of short-stay residents who had an outpatient emergency department visit	21.0%	14.0% 7 pts worse	12.0% 9 pts worse	Short Stay · 20240701-20250630 · Adjusted 21.0% · Observed 23.9% · Expected 12.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.5%	2.3% 0.8 pts better	1.6% 0.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.6% · Q3 3.4% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	43.3%	63.0% 19.7 pts worse	79.7% 36.4 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 43.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	32.2%	26.2% 6 pts worse	23.9% 8.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 32.2% · Observed 33.0% · Expected 24.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-08 · Fire 2025-02-04

9 health deficiencies

Top issue: Infection Control (2 deficiencies)

3 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 2 Health 2025-02-04 · Fire 2023-11-16

4 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-11-16 · Fire 2022-10-06

15 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

4 fire-safety deficiencies

Top issue: Emergency Preparedness (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-02-04

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2025-03-07

E · Potential for more than minimal harm 2025-02-04

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-03-18

E · Potential for more than minimal harm 2025-02-04

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-03-07

F · Potential for more than minimal harm 2023-11-16

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2023-11-29

F · Potential for more than minimal harm 2023-11-16

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2023-11-29

F · Potential for more than minimal harm 2023-11-16

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2023-11-29

F · Potential for more than minimal harm 2023-11-16

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2023-11-29

F · Potential for more than minimal harm 2022-10-06

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2022-10-19

F · Potential for more than minimal harm 2022-10-06

E7 · Emergency Preparedness Deficiencies

Fire Safety

Address patient/client population and determine types of services needed.

Corrected 2022-10-19

Inspection history

Recent health citations

G · Actual harm 2025-12-08

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-12-28

F · Potential for more than minimal harm 2025-12-08

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2025-12-28

E · Potential for more than minimal harm 2025-12-08

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-12-28

E · Potential for more than minimal harm 2025-12-08

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-12-28

D · Potential for more than minimal harm 2025-12-08

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-12-28

D · Potential for more than minimal harm 2025-12-08

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-12-28

D · Potential for more than minimal harm 2025-12-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-12-28

D · Potential for more than minimal harm 2025-12-08

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2025-12-28

D · Potential for more than minimal harm 2025-05-30

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-06-13

G · Actual harm 2025-02-04

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-02-21

E · Potential for more than minimal harm 2025-02-04

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2025-02-21

B · Minimal harm 2025-02-04

F912 · Environmental Deficiencies

Health

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Corrected 2025-02-21

D · Potential for more than minimal harm 2024-04-18

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-05-01